The Interface between Sector Reform and Human Resources in Health

The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how new processes have modified the ways in which the health workers interact...

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Main Authors:	Dussault, Gilles, Rigoli, Felix
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCOUNTABILITY ADAPTABILITY BURDEN OF DISEASE BUREAUCRACIES CAPITATION CLIMATE CONCEPTUAL FRAMEWORK DEREGULATION DOCTORS ECONOMIC CONDITIONS ECONOMIC VALUE EMPLOYERS EMPLOYMENT EQUITY IN HEALTH ETHICS FAMILY HEALTH FINANCIAL RESOURCES FIXED COSTS GOVERNMENT EXPENDITURES HEALTH CARE HEALTH CARE FINANCING HEALTH CARE POLICIES HEALTH CARE REFORM HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH INSTITUTIONS HEALTH NEEDS HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRENDS HEALTH WORKFORCE HORIZONTAL EQUITY HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT INCOME INCOME DISTRIBUTION INFLATION INFORMATION SYSTEMS INSURANCE INTERVENTION LABOR COSTS LABOR MARKETS LAWS LOBBYISTS LOCAL AUTHORITIES MALARIA MALNUTRITION MANAGED CARE MANAGERS MARKET POWER MEDICAL CARE MEDICAL FEES MERGERS MIS MONITORING MOTIVATION NURSES NURSING NUTRITION OPERATING COSTS ORGANIZATIONAL ENVIRONMENT ORGANIZATIONAL STRUCTURES PATIENT CARE PERFORMANCE PERFORMANCE CONTRACTS PERSONAL RELATIONSHIPS PHARMACISTS PHYSICIANS POLITICAL ECONOMY PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVITY PROFESSIONAL ASSOCIATIONS PUBLIC GOODS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR QUALITY OF CARE REFORM PROCESS REFORM PROCESSES REPRODUCTIVE HEALTH RESOURCE ALLOCATION SAFETY SCREENING SERVICE PROVIDERS SERVICE QUALITY SERVICE WORKERS STRATEGIC PLANNING STREAMS TEAMWORK TUBERCULOSIS UNEMPLOYMENT VARIABLE COSTS WAGES WEIGHT WORKERS WORKING CONDITIONS WORKPLACE
Online Access:	http://documents.worldbank.org/curated/en/2003/07/5620094/interface-between-sector-reform-human-resources-health http://hdl.handle.net/10986/13676

id	okr-10986-13676
recordtype	oai_dc
spelling	okr-10986-136762021-04-23T14:03:09Z The Interface between Sector Reform and Human Resources in Health Dussault, Gilles Rigoli, Felix ACCOUNTABILITY ADAPTABILITY BURDEN OF DISEASE BUREAUCRACIES CAPITATION CLIMATE CONCEPTUAL FRAMEWORK DEREGULATION DOCTORS ECONOMIC CONDITIONS ECONOMIC VALUE EMPLOYERS EMPLOYMENT EQUITY IN HEALTH ETHICS FAMILY HEALTH FINANCIAL RESOURCES FIXED COSTS GOVERNMENT EXPENDITURES HEALTH CARE HEALTH CARE FINANCING HEALTH CARE POLICIES HEALTH CARE REFORM HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH INSTITUTIONS HEALTH NEEDS HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRENDS HEALTH WORKFORCE HORIZONTAL EQUITY HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT INCOME INCOME DISTRIBUTION INFLATION INFORMATION SYSTEMS INSURANCE INTERVENTION LABOR COSTS LABOR MARKETS LAWS LOBBYISTS LOCAL AUTHORITIES MALARIA MALNUTRITION MANAGED CARE MANAGERS MARKET POWER MEDICAL CARE MEDICAL FEES MERGERS MIS MONITORING MOTIVATION NURSES NURSING NUTRITION OPERATING COSTS ORGANIZATIONAL ENVIRONMENT ORGANIZATIONAL STRUCTURES PATIENT CARE PERFORMANCE PERFORMANCE CONTRACTS PERSONAL RELATIONSHIPS PHARMACISTS PHYSICIANS POLITICAL ECONOMY PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVITY PROFESSIONAL ASSOCIATIONS PUBLIC GOODS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR QUALITY OF CARE REFORM PROCESS REFORM PROCESSES REPRODUCTIVE HEALTH RESOURCE ALLOCATION SAFETY SCREENING SERVICE PROVIDERS SERVICE QUALITY SERVICE WORKERS STRATEGIC PLANNING STREAMS TEAMWORK TUBERCULOSIS UNEMPLOYMENT VARIABLE COSTS WAGES WEIGHT WORKERS WORKING CONDITIONS WORKPLACE The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how new processes have modified the ways in which the health workers interact. However, few studies have paid enough attention to the ways in which workers have influenced the reforms. The impact of health sector reform has modified critical aspects of the health workforce, including labor conditions, degree of decentralization of management, required skills and the entire system of wages and incentives. Human resources in health, crucial as they are in implementing changes in the delivery system, have had their voice heard in many subtle and open ways, reacting to transformations, supporting, blocking and distorting the proposed ways of action. This work reviews the evidence on how the individual or collective actions of human resources are shaping health reforms, highlighting the reform process, workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions of different "technical designs" when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of reforms and the objectives and strategies of those that have to implement them. 2013-05-30T14:35:40Z 2013-05-30T14:35:40Z 2003-07 http://documents.worldbank.org/curated/en/2003/07/5620094/interface-between-sector-reform-human-resources-health http://hdl.handle.net/10986/13676 English en_US Health, Nutrition and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ACCOUNTABILITY ADAPTABILITY BURDEN OF DISEASE BUREAUCRACIES CAPITATION CLIMATE CONCEPTUAL FRAMEWORK DEREGULATION DOCTORS ECONOMIC CONDITIONS ECONOMIC VALUE EMPLOYERS EMPLOYMENT EQUITY IN HEALTH ETHICS FAMILY HEALTH FINANCIAL RESOURCES FIXED COSTS GOVERNMENT EXPENDITURES HEALTH CARE HEALTH CARE FINANCING HEALTH CARE POLICIES HEALTH CARE REFORM HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH INSTITUTIONS HEALTH NEEDS HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRENDS HEALTH WORKFORCE HORIZONTAL EQUITY HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT INCOME INCOME DISTRIBUTION INFLATION INFORMATION SYSTEMS INSURANCE INTERVENTION LABOR COSTS LABOR MARKETS LAWS LOBBYISTS LOCAL AUTHORITIES MALARIA MALNUTRITION MANAGED CARE MANAGERS MARKET POWER MEDICAL CARE MEDICAL FEES MERGERS MIS MONITORING MOTIVATION NURSES NURSING NUTRITION OPERATING COSTS ORGANIZATIONAL ENVIRONMENT ORGANIZATIONAL STRUCTURES PATIENT CARE PERFORMANCE PERFORMANCE CONTRACTS PERSONAL RELATIONSHIPS PHARMACISTS PHYSICIANS POLITICAL ECONOMY PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVITY PROFESSIONAL ASSOCIATIONS PUBLIC GOODS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR QUALITY OF CARE REFORM PROCESS REFORM PROCESSES REPRODUCTIVE HEALTH RESOURCE ALLOCATION SAFETY SCREENING SERVICE PROVIDERS SERVICE QUALITY SERVICE WORKERS STRATEGIC PLANNING STREAMS TEAMWORK TUBERCULOSIS UNEMPLOYMENT VARIABLE COSTS WAGES WEIGHT WORKERS WORKING CONDITIONS WORKPLACE
spellingShingle	ACCOUNTABILITY ADAPTABILITY BURDEN OF DISEASE BUREAUCRACIES CAPITATION CLIMATE CONCEPTUAL FRAMEWORK DEREGULATION DOCTORS ECONOMIC CONDITIONS ECONOMIC VALUE EMPLOYERS EMPLOYMENT EQUITY IN HEALTH ETHICS FAMILY HEALTH FINANCIAL RESOURCES FIXED COSTS GOVERNMENT EXPENDITURES HEALTH CARE HEALTH CARE FINANCING HEALTH CARE POLICIES HEALTH CARE REFORM HEALTH CARE SECTOR HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CONDITIONS HEALTH EXPENDITURES HEALTH INSTITUTIONS HEALTH NEEDS HEALTH POLICY HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH REFORM HEALTH REFORMS HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HEALTH TRENDS HEALTH WORKFORCE HORIZONTAL EQUITY HOSPITALS HUMAN DEVELOPMENT HUMAN RESOURCES HUMAN RESOURCES DEVELOPMENT INCOME INCOME DISTRIBUTION INFLATION INFORMATION SYSTEMS INSURANCE INTERVENTION LABOR COSTS LABOR MARKETS LAWS LOBBYISTS LOCAL AUTHORITIES MALARIA MALNUTRITION MANAGED CARE MANAGERS MARKET POWER MEDICAL CARE MEDICAL FEES MERGERS MIS MONITORING MOTIVATION NURSES NURSING NUTRITION OPERATING COSTS ORGANIZATIONAL ENVIRONMENT ORGANIZATIONAL STRUCTURES PATIENT CARE PERFORMANCE PERFORMANCE CONTRACTS PERSONAL RELATIONSHIPS PHARMACISTS PHYSICIANS POLITICAL ECONOMY PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVITY PROFESSIONAL ASSOCIATIONS PUBLIC GOODS PUBLIC HEALTH PUBLIC HEALTH SERVICES PUBLIC SECTOR QUALITY OF CARE REFORM PROCESS REFORM PROCESSES REPRODUCTIVE HEALTH RESOURCE ALLOCATION SAFETY SCREENING SERVICE PROVIDERS SERVICE QUALITY SERVICE WORKERS STRATEGIC PLANNING STREAMS TEAMWORK TUBERCULOSIS UNEMPLOYMENT VARIABLE COSTS WAGES WEIGHT WORKERS WORKING CONDITIONS WORKPLACE Dussault, Gilles Rigoli, Felix The Interface between Sector Reform and Human Resources in Health
relation	Health, Nutrition and Population (HNP) discussion paper;
description	The relationship between health sector reform and the human resources issues raised in that process has been highlighted in several studies. These studies have focused on how new processes have modified the ways in which the health workers interact. However, few studies have paid enough attention to the ways in which workers have influenced the reforms. The impact of health sector reform has modified critical aspects of the health workforce, including labor conditions, degree of decentralization of management, required skills and the entire system of wages and incentives. Human resources in health, crucial as they are in implementing changes in the delivery system, have had their voice heard in many subtle and open ways, reacting to transformations, supporting, blocking and distorting the proposed ways of action. This work reviews the evidence on how the individual or collective actions of human resources are shaping health reforms, highlighting the reform process, workforce reactions and the factors determining successful human resources participation. It attempts to provide a more powerful way of predicting the effects and interactions of different "technical designs" when they interact with the human resources they affect. The article describes the dialectic nature of the relationship between the objectives and strategies of reforms and the objectives and strategies of those that have to implement them.
format	Publications & Research :: Working Paper
author	Dussault, Gilles Rigoli, Felix
author_facet	Dussault, Gilles Rigoli, Felix
author_sort	Dussault, Gilles
title	The Interface between Sector Reform and Human Resources in Health
title_short	The Interface between Sector Reform and Human Resources in Health
title_full	The Interface between Sector Reform and Human Resources in Health
title_fullStr	The Interface between Sector Reform and Human Resources in Health
title_full_unstemmed	The Interface between Sector Reform and Human Resources in Health
title_sort	interface between sector reform and human resources in health
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2003/07/5620094/interface-between-sector-reform-human-resources-health http://hdl.handle.net/10986/13676
_version_	1764424308969439232

The Interface between Sector Reform and Human Resources in Health

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